| Crescent Counseling Center, Llc | |
|
105 Russell St Darlington SC 29532-3309 | |
| (843) 624-8661 | |
| Not Available |
| Full Name | Crescent Counseling Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 105 Russell St, Darlington, South Carolina |
| Authorized Official Name and Position | Laura L Smith (OWNER/OPERATOR) |
| Authorized Official Contact | 8436248661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Counseling Center, Llc 116 Oakview Dr Darlington SC 29532-2510 Ph: (843) 624-8661 | Crescent Counseling Center, Llc 105 Russell St Darlington SC 29532-3309 Ph: (843) 624-8661 |
| NPI Number | 1124770938 |
|---|---|
| Provider Enumeration Date | 01/23/2022 |
| Last Update Date | 01/23/2022 |
| Certification Date | 01/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124770938 | NPI | - | NPPES |
| PC1001 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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